NPI | 1295055648 |
---|---|
Doing Business As | ADVANCED PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | GREGORY ALLEN PEKKALA Pain Specialist 515-604-6618 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IA 367500000X) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2018-08-18 |